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Individual

JACOB TANNER PLOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7398 RIVERS AVE, NORTH CHARLESTON, SC 29406-4613
(843) 405-5800
Mailing address
1300 FAIRMOUNT AVE UNIT 1443, PHILADELPHIA, PA 19123-2494

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/13/2026
Last updated
04/13/2026
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